STL Injury and Spine LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

STL INJURY AND SPINE LLC

Practice address

7721 Clayton Rd
Clayton, MO 63117-1301

Phone

(314) 546-6072

Fax

(888) 569-4961

NPI assigned

Jun 10, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jerry Leech, DCNPI 1730517574

Title

Ceo

Phone

(314) 972-3107

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry Dale Leech Jr., DC

  • Chiropractor
  • Saint Peters, MO
  • NPI 1730517574
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1134744725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 CLAYTON RD",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631171301",
            "telephone_number": "314-546-6072",
            "fax_number": "888-569-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 CLAYTON RD",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631171301",
            "telephone_number": "314-546-6072",
            "fax_number": "888-569-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STL INJURY AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "LEECH",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-972-3107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Stern
• Steven Ray Dedrickson, DDS PC
• Celeste Stewart, BCBA
• Katherine Stewart, LPC
• Kaylee Stillwell
• Sarah Strohmayer, M.A., LPC
• Rebecca Tetera Sturmer, D.C.
• Megan Ann Stutsman, NONE
• Heidi E Suguitan, LPC, LCPC, ATR-BC
• Glenda Sue Sullentrup, M.A., LPC

• Physical Medicine & Rehabilitation Physician in Clayton, MO
• Providers in Clayton, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.